Premature Discontinuation of Contraceptive Implants

Objective: To compare rates of etonogestrel implant discontinuation in implant initiators who are given advance provision of combined oral contraceptive pills (COCs) and a bleeding rescue regimen (COCR intervention) to participants given standard counseling (comparator). Secondary Objectives: To determine if participants initiating the contraceptive implant who are also provided COCR are more likely than participants receiving standard counseling to: 1. report higher levels of satisfaction with their contraceptive implant at one year following initiation 2. require less clinical follow-up and clinical resources in the year following initiation.